455403102-7-2-2019-13-CC-CKRD-BDPMUD-20190702095458

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 455403102
Report Date: 07/02/2019
Date Signed: 07/02/2019 09:55:03 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	TRINITY LUTHERAN SCHOOL AGE PROGRAM		FACILITY NUMBER:	455403102
ADMINISTRATOR:	DENISE KILLGORE		FACILITY TYPE:	840
ADDRESS:	2440 HILLTOP DRIVE		TELEPHONE:	(530) 221-6686
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	46	CENSUS: 13	DATE:	07/02/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Denise Killgore		TIME COMPLETED:	08:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An annual inspection was made to the facility by Licensing Program Analysts (LPAs), Chris Krogstad and Pati Pacheco. LPAs met with the facility director, Denise Killgore. The facility file was reviewed prior to this visit. A review of the personnel report on 6/18/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility’s operating hours are 7am - 5:45pm, Monday-Friday. This is a combination preschool/school-aged center. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The preschool and school-aged programs operate in separate classrooms with separate play yards. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be stored in a latched storage cabinet in the classroom which is inaccessible to children. The director stated poisons are locked in the church's janitorial closet. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children indoors and outdoors via drinking fountains. The children's bathrooms are in safe and sanitary condition. There is a shared bathroom waiver on file to allow the school-aged children to use the preschool restrooms with separation ensured via supervision. Food prep areas are clean. Food is properly stored and refrigerated as needed. The center provides AM/PM snack. Sack lunches are brought from home. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. LPAs observed a working carbon monoxide detector in the facility. There is a separate school-aged play yard. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There is wood chips to provide cushioning underneath climbing structure to absorb falls. There were no swimming pools or other bodies of water observed on the property. The director stated no weapons are stored on site and none were observed. During today's inspection, 13 school aged children were observed in care playing in the outside play yard, supervised by two teachers. Capacity and ratio requirements were being met.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen Krogstad	TELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: TRINITY LUTHERAN SCHOOL AGE PROGRAM	FACILITY NUMBER: 455403102
	VISIT DATE: 07/02/2019

NARRATIVE

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Five children’s records were reviewed at 8:25am, and contained signed admission agreements. Two school aged staff records were reviewed at 8:35am and contained documentation of education and training as required. There is at least one staff present (Director) with current pediatric CPR and First Aid certifications which expire 7/31/19. This facility is not currently providing Incidental Medical Services (IMS). The Department’s IMS policy was discussed with the Director. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen Krogstad	TELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

LIC809 (FAS) - (06/04)

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